VALLEY LAPAROSCOPIC SURGICAL ASSOCIATES, INC. (NPI# 1891067864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891067864 |
| Entity Type | Organization |
| Organization Name | VALLEY LAPAROSCOPIC SURGICAL ASSOCIATES, INC. |
| Practice Address |
2083 Compton Ave Ste 104 Corona CA 92881 |
| Mailing Address |
Po Box 891480 Temecula CA 92589-1480 |
| Practice Telephone | 9517195904 |
| Mailing Telephone | 9512568191 |
| Mailing Fax Number | 9512568190 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | DR. DAVID YONGSUK SUH (PRESIDENT) |
| Authorized Official Telephone | 9512568191 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25495 Medical Center Dr Ste 303, Murrieta, CA 925624904 | 9512568191 | 9512568190 |
| Street Address |
2083 COMPTON AVE STE 104 |
| City | CORONA |
| State | CA |
| Zip Code | 92881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1407161904 | Melissa Danel Keil | Doula | 1260 Emeraldport Street, Corona, CA 92881 | 2010-08-10 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336639913 | Estefani S Aguirre | Specialist | 4117 108th St # 2r, Corona, NY 11368-3475 | 2018-05-18 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1467854117 | Eleonora Israilova | Specialist | 9602 57th Ave Apt 6m, Corona, NY 11368-3427 | 2014-09-24 |
| 1982023057 | Gabrielle Fernandez-cabrera | Specialist | 5512 111th St, 2c, Corona, NY 11368-4035 | 2014-04-15 |
| 1881017770 | Crystal Bruce | Specialist | 3316 102nd St, Corona, NY 11368-1131 | 2014-01-28 |
| 1609297803 | Jessica Alice D'angelo | Specialist | 3474 113th St, Corona, NY 11368-1455 | 2013-12-16 |
| 1770911513 | Barno Khaimova | Specialist | 9711 Horace Harding Expy Apt 4c, Corona, NY 11368-4700 | 2013-10-14 |
| 1003249020 | Jennifer Disla | Specialist | 11172 42nd Ave, Corona, NY 11368-2620 | 2013-08-13 |
| 1710328125 | Maria De Los A Rivera | Specialist | 9722 57th Ave, Apt.12-m, Corona, NY 11368-3511 | 2013-07-14 |
| 1497193221 | Alfonso Van Uden | Specialist | 9859 Corona Ave, Corona, NY 11368-2783 | 2013-06-14 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.